Individual provider · Type 1 NPI

Mark Lavelle Bradford

Psychologist · Springfield, MO

NPI number 1396867271 Active

Practice location

309 N Jefferson Ave, Ste 245
Springfield, MO 65806-1108

Fax (417) 833-2727

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPYR0472 (MO)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1396867271

Mark Lavelle Bradford's National Provider Identifier is 1396867271, issued on Apr 4, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Springfield, MO. The record was last updated on Jul 9, 2007.